JEFFERSON RESIDENTIAL SERVICES INC. NPI 1780901967

NPI Information

JEFFERSON RESIDENTIAL SERVICES, INC. is an assisted living facility in Roberts, ID. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. JEFFERSON RESIDENTIAL SERVICES, INC. NPI is 1780901967. The provider is registered as an organization entity type.

The provider's business location address is:

2859 E 650 N
ROBERTS, ID
ZIP 83444-095
Phone: (208) 228-6045

The provider's authorized official is Todd Graves .
The authorized official title is Assistant Director and has the following contact phone number (208) 228-6045.

The enumeration date for this NPI number is 4/27/2010 and was last updated on 4/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.